Not sure what to do - clear RT3 with T3 or cont... - Thyroid UK

Thyroid UK

141,244 members166,489 posts

Not sure what to do - clear RT3 with T3 or continue NDT?

Scazzoh profile image
5 Replies

I posted my latest bloods recently and got some helpful info about the high ferritin. I reduced my NDT from 3 to 2 3/4 grains, as the T3 is over range. I didn't notice any major hyper symptoms, but am getting palps- which has always been a problem anyway being hypo. This reduced dose will presumably lower the T4 as well, but I am not sure it will affect RT3, which is high. I started taking milk thistle seed today. I am addressing cortisol issues with adaptogens. Do I 'wait and see' with the reduced NDT dose, or switch to T3 to clear the RT3. I feel much better than I did last year but am still functioning at about 60% of normal, with fatigue being the major issue. I keep deciding to take T3 only, take one tablet (25mg) in the morning and then chicken out and go back to the NDT (1 grain) in the afternoon. I know this is not good and need to pin my colours to the mast.

TSH 0.01 (.27-4.2)

Free T4 21.8 (12-22)

Free T3 7.7 (3.1-6.8)

Reverse T3 33 (10-24)

I had some other tests done which are on my previous post. The TFTs are the important ones at the moment.

Written by
Scazzoh profile image
Scazzoh
To view profiles and participate in discussions please or .
Read more about...
5 Replies
SeasideSusie profile image
SeasideSusieRemembering

Hi Scazz 😃

Have you discussed with Sarah?

Have you got any links about rT3? Here are some of mine

restartmed.com/reverse-t3/

rt3-adrenals.org/reverse_t3...

stopthethyroidmadness.com/r... (mentions NDT)

Everything I've read suggests T3 only for a while.

I know you've a lot going on, I hope you can get this sorted.

Susie x

Scazzoh profile image
Scazzoh in reply toSeasideSusie

Hi Susie, yes I emailed Sarah last week, but haven't had a reply yet and don't want to wait until I start feeling like doo-doos again. I have looked at the articles. The first one is really good. He talks about what tests to do for inflammation. Chronic inflammation causes high RT3 so maybe the cause of the high ferritin will give some clues. (Off to the GP in a couple of weeks). Thanks for that.

HIFL profile image
HIFL

How do you know you're not just overmedicated? rT3 rises when FT3 is too high, and yours is over the reference range. If you lower your dose, FT3, rT3, and FT4 will all come down. Fatigue is a symptom of overmedication too. Ask any Graves' patient. We're exhausted.

The graphic on this page shows how rT3 can rise when FT3 is too high: tiredthyroid.com/blog/2015/...

Scazzoh profile image
Scazzoh in reply toHIFL

Hi HIFL, I am not sure I am not overmedicated, if you see what I mean, but I could address that by dosing with T3 only at a lower rate. I think on balance, I'll stick with a lowered dose and test again in 6 weeks. Then I'll know if the RT3 is still a problem. thanks.

Scazzoh profile image
Scazzoh

btw, I feel like that guy on the Fast Show who agrees with what everyone says and then, at the end says, 'I don't know what to do!'

Not what you're looking for?

You may also like...

rT3 dominance...real or not...?

Sometimes, it feels like rT3 dominance is like the thyroid hormones T1 and T2...that is, real or...

Cytomel (T3) only or along with NDT (T3&T4)?

How do i know if I'm to do Cytomel alone, or combine it with my Synthroid-S, which is a NDT...
TJC123 profile image

NDT equivalent to t3?

Hi I'm on 80mcgs of t3 and thinking of swapping in some NDT as I had an episode of atrial...
sulamaye profile image

Not sure what to do?

So, following on from my last post I have recently had a blood test and I post below my results...
diamondial profile image

Problem to clear rt3!!need feedback FROM SOMEONE WHO HAS CLEARED RT3.

Due to very high rt3 i am on t3 only from 6months, i slowly increased to 80 mcg last 20days, untill...
Dawid86 profile image